Serum creatinine/cystatin C ratio

Biomarker

12 papers study it16 more mention it18 findings

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  • Humans12

Effects

2

Hospital-associated complications

no changein humans1

1 study
  1. Serum creatinine/cystatin C ratio has no effect on hospital-associated complications in humans.

    “no significant association was found between CCR and the incidence of HAC.”

    Humanshospitalizationn = 231

    Association of Serum Creatinine-Cystatin C Ratio With Hospital-Associated Complications and Post-Discharge Mortality

    Geriatrics & gerontology international

Mortality

no changein humans1

1 study
  1. Serum creatinine/cystatin C ratio has no effect on mortality in humans.

    “However, Cr/CysC*100, AST/ALT, and NLR were not associated with either overall or 30-day mortality risk.”

    Humanschronic heart failuren = 482

    Effectiveness of sarcopenia screening indicators in predicting death in older patients with chronic heart failure

    BMC geriatrics

Associations

12

Mortality

downin humans2upin humans1HR 0.4–1.59

3 studies
  1. Serum creatinine/cystatin C ratio lowers the risk of mortality in humans (HR = 0.47, 95% CI: 0.31-0.69, p < 0.001).

    “Cox regression revealed a negative association between Cr/CysC and all-cause mortality in the overall population (HR = 0.47, 95% CI: 0.31-0.69, p < 0.001)”

    Humansin the overall population

    Association of serum creatinine/cystatin C ratio with insulin resistance and all-cause mortality: a national cohort analysis

    Frontiers in nutrition

  2. Serum creatinine/cystatin C ratio lowers the risk of mortality in humans (HR 0.40, 95% CI 0.34-0.47).

    “hazard ratios comparing the highest vs. lowest quartile of Cr/CysC ratio were 0.40 (95% CI, 0.34-0.47; P < 0.001) for all-cause mortality”

    Humanshighest vs. lowest quartilemedian follow-up of 17.9 yearsn = 12,914

    Association of serum creatinine-cystatin C ratio with all-cause, cardiovascular and cancer mortality in US adults: a nationwide cohort study

    BMC geriatrics

  3. Serum creatinine/cystatin C ratio predicts mortality in humans (HR 1.59, 95% CI 1.12-2.24).

    “lowest Cr/CysC (HR, 1.59; 95% CI, 1.12-2.24, P = 0.009) were independent factors of all-cause mortality”

    Humansover 4 yearsn = 486

    Serum creatinine/cystatin C ratio is a predictor of all-cause mortality for older adults over 80 years

    Heliyon

Cardiovascular mortality

downin humans2HR 0.54–0.68

2 studies
  1. Serum creatinine/cystatin C ratio lowers the risk of cardiovascular mortality in humans (HR 0.68, 95% CI 0.52-0.88).

    “0.68 (95% CI, 0.52-0.88; P < 0.001) for cardiovascular mortality”

    Humanshighest vs. lowest quartilemedian follow-up of 17.9 yearsn = 12,914

    Association of serum creatinine-cystatin C ratio with all-cause, cardiovascular and cancer mortality in US adults: a nationwide cohort study

    BMC geriatrics

  2. Serum creatinine/cystatin C ratio lowers the risk of cardiovascular mortality in humans (adjusted HR 0.54, 95% CI 0.46-0.65).

    “A higher Cr/CysC ratio was associated with a decreasing risk of CVD mortality (adjusted HR: 0.54, 95% CI: 0.46-0.65, p < 0.001, per SD increase).”

    Humansmedian follow-up of 16.9 yearsn = 11,150

    The Association between Serum Creatinine/Cystatin C Ratio and Cardiovascular Morbidity and Mortality: Insights from NHANES

    Reviews in cardiovascular medicine

Handgrip strength

upin humans2

2 studies
  1. Serum creatinine/cystatin C ratio is associated with handgrip strength in humans (β = 0.21, 0.13, and 0.19 for the 70s, 80s, and 90s, respectively).

    “The relationship between CCR and sarcopenia components was significant for handgrip strength”

    HumansCommunity-dwelling Japanese older adults; adjusted analysesn = 955

    Usefulness of the serum creatinine/cystatin C ratio as a blood biomarker for sarcopenia components among age groups in community-dwelling older people: The SONIC study

    Geriatrics & gerontology international

  2. Serum creatinine/cystatin C ratio is associated with handgrip strength in humans (R2 = 0.19, P < 0.001).

    “The Cr/CysC level was positively correlated with CC (R2 = 0.17, P < 0.001) and HGS (R2 = 0.19, P < 0.001).”

    Humansn = 486

    Serum creatinine/cystatin C ratio is a predictor of all-cause mortality for older adults over 80 years

    Heliyon

Insulin resistance

downin humans1OR 0.48

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of insulin resistance in humans (OR = 0.48, 95% CI: 0.32-0.73, p = 0.001).

    “Higher Cr/CysC ratios were strongly associated with lower IR risk (OR = 0.48, 95% CI: 0.32-0.73, p = 0.001)”

    Humans

    Association of serum creatinine/cystatin C ratio with insulin resistance and all-cause mortality: a national cohort analysis

    Frontiers in nutrition

More on Insulin resistance

Disability

downin humans1OR 0.69

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of disability in humans (OR = 0.69, 95% CI 0.52-0.91).

    “and ADL disability (SI: OR = 0.71, 95% CI 0.54-0.94; CCR: OR = 0.69, 95% CI 0.52-0.91) compared to those in the lowest quartile.”

    Humanshighest vs lowest quartilen = 2,357

    Creatinine and cystatin C-based indices for predicting sarcopenia, frailty and disability in older community-dwelling adults

    The journal of nutrition, health & aging

Frailty

downin humans1OR 0.24

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of frailty in humans (OR = 0.24, 95% CI 0.11-0.51).

    “Participants in the highest quartile of SI or CCR had reduced odds of incident frailty (SI: OR = 0.24, 95% CI 0.11-0.52; CCR: OR = 0.24, 95% CI 0.11-0.51)”

    Humanshighest vs lowest quartilen = 2,574

    Creatinine and cystatin C-based indices for predicting sarcopenia, frailty and disability in older community-dwelling adults

    The journal of nutrition, health & aging

Cardiometabolic multimorbidity

downin humans1OR 0.89

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of cardiometabolic multimorbidity in humans (OR = 0.89, 95% CI: 0.87-0.91, p < 0.001).

    “compared to the lower quartile (Q1) of SCR/CysC, the highest quartile (Q4) was associated with a decreased risk of CMM (CHARLS: odds ratio (OR) = 0.89, 95% confidence interval (CI): 0.87-0.91, p < 0.001”

    HumansCHARLS database

    Association Between Relative Fat Mass and the Serum Creatinine/Cystatin C Ratio and Cardiometabolic Multimorbidity: Evidence From Two Large Population-Based Surveys

    Journal of diabetes research

More on Cardiometabolic multimorbidity

Cancer mortality

downin humans1HR 0.51

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of cancer mortality in humans (HR 0.51, 95% CI 0.36-0.71).

    “0.51 (95% CI, 0.36-0.71; P < 0.001) for cancer mortality”

    Humanshighest vs. lowest quartilemedian follow-up of 17.9 yearsn = 12,914

    Association of serum creatinine-cystatin C ratio with all-cause, cardiovascular and cancer mortality in US adults: a nationwide cohort study

    BMC geriatrics

Skeletal muscle mass index

upin humans1

1 study
  1. Serum creatinine/cystatin C ratio is associated with skeletal muscle mass index in humans (β = 0.14; P = 0.0022, only for the 90s).

    “however, it was limited for SMI (β = 0.14; P = 0.0022, only for the 90s)”

    HumansCommunity-dwelling Japanese older adults; adjusted analysesskeletal musclen = 284

    Usefulness of the serum creatinine/cystatin C ratio as a blood biomarker for sarcopenia components among age groups in community-dwelling older people: The SONIC study

    Geriatrics & gerontology international

Cardiovascular disease

downin humans1OR 0.65

1 study
  1. Serum creatinine/cystatin C ratio lowers the risk of cardiovascular disease in humans (OR 0.65, 95% CI 0.52-0.81).

    “the Cr/CysC ratio was inversely linked to CVD morbidity (odds ratio: 0.65, 95% CI: 0.52-0.81, p < 0.001, per standard deviation [SD] increase).”

    Humansn = 11,150

    The Association between Serum Creatinine/Cystatin C Ratio and Cardiovascular Morbidity and Mortality: Insights from NHANES

    Reviews in cardiovascular medicine

More on Cardiovascular disease

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